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AAAAAAAAAAAAGGGGGGGGGGHHHHHHHHHHH!

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Roo101769

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Right now I am feeling great amounts of stress and anger. I called my surgeons office to see if the pulmonary clearance had been issued yet. ( Was tested Friday- knew I might be pushing it) I also wanted to verify they had received the paperwork from my PCPs office for my two years medical records and his letter of recommendation. And the answer is.....NO! Week before last I went through this run around and I "thought" I had it worked out. My PCPs office said they had never received the request, but would be more than happy to submit to the surgeon once they got it. (the request) I called back the surgeon and gave them that information and a fax number they could send the request through directly. The surgeon's office said they would handle it. Obviously it wasn't handled. I do not know who is dropping the ball here, but it is starting to really piss me off. I know the surgeon's office did send out requests for records that I had signed off on in the beginning because my orthopedic doctor had to have me sign their version of one. ( Because they did not accept my surgeon's version) That was over a week ago. So whether my PCP is being slow or my surgeon is, I have no idea. But I am taking the bull by the horns and I will make sure the paperwork is transferred, if I have to take it to them myself!!! I have a call in to my PCP about it. When they return my call I will ask if they can just do it ( send records / letter) on my request. After all, I have to give my approval for the records to be released. I have read many stories on this site about people experiencing the same issues. What I don't get is why this is such a widespread problem and why it is acceptable??? In my job and many others, if we did such a shoddy job we would be terminated / replaced. I suppose it is because they have us by our proverbial "balls". What are we going to do about it? Not get sick? Never need doctors to keep records? Go someplace else? ( that will do the exact same thing) No wonder health care costs in the U.S. are so out of hand. The bureaucratic BS is insane!! I would like to be fair and patient and say "well they are busy" and "everyone wants their case to be important". But when I am doing half their work for them, and they still can't get it done? I am busy at my job too. Everyone wants me to get things done that need done NOW. Yet I can manage it. Been here 18 years. If I were not competent enough to get the job done I certainly would not have it. It just galls me to no end the case is so not the same when it comes to the medical field in general. Our records are computerized, how hard is it to obtain or send files via a computerized system?? Needless to say I will have to stay on top of this issue. My hopes for an October surgery date are waning. This month has passed by so quickly already. Even if the records are sent this week, and the final clearance is in by Friday, they probably still would not submit to insurance until next week. Then however long it takes for my insurance to decide on it, could be another few weeks. ( I pray to be in the lucky group of "just a couple days" for approval. But I will not hold my breath for that to happen.) Given the steps I have to do after approval, before surgery, it is looking less and less likely I will get in for October. I had just hoped to be far enough healed before my daughter's birthday and the holidays start, but I may not get that. The best laid plans........

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This sounds all to familiar to me. I ran into the same run around from my surgeons office. Here is what I did. I let the surgeon know. I emailed my surgeon. Chances are he/she is not aware of the fact that things are getting dropped AND I did it all myself. I even faxed directly to my insurance company, speaking to them on several occasions. I was told that it took 10 business days for my insurance to respond, it was 24 hrs. I think the extra days are for the surgeon. I say this because I send documents to my surgeons office to submit to insurance and it took her 5 business days to resend it to my insurance company who responded in less than 24 hrs. Now, when I found this out, I had one last thing to go to insurance I sent it to my drs office, they told me (on a wed) that they would fact it next week! I wasn't going to stand for it I sent it myself and had my approval by the next morning at 906am. I am now scheduled for surgery on Tuesday. Do not stop being your biggest advocate. You will get thru this and know I have experienced exactly what you are going thru and it will pass and once you get the approval you will feel so much better. Good luck if I can do anything let me know.

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